| NPI | 1720519986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.141617) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.141617) |
| 208000000X Pediatrics (Licence: OH 35.141617) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2021-06-24 |